Senior Software Engineer - Backend

Heartflow is a medical technology company advancing the diagnosis and management of coronary artery disease, the #1 cause of death worldwide, using cutting-edge technology. The flagship product—an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFR CT Analysis—provides a color-coded, 3D model of a patient’s coronary arteries indicating the impact blockages have on blood flow to the heart. Heartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMap™Analysis), assess coronary blood flow (FFR CT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis).

Our pipeline of products is growing and so is our team; join us in helping to revolutionize precision heartcare. Heartflow is a publicly traded company (HTFL) that has received international recognition for exceptional strides in healthcare innovation, is supported by medical societies around the world, cleared for use in the US, UK, Europe, Japan and Canada, and has been used for more than 500,000 patients worldwide. We are seeking a Product-Minded Senior Backend Software Engineer who is passionate about architecting high-performance APIs and scalable cloud services.

js frontend. We aren't just looking for a coder; we are looking for a technical partner who can take high-level product goals and translate them into actionable technical roadmaps.

Responsibilities

Lead the design, development, and scaling of backend services and APIs powering core product functionality Product Strategy: Partner with Product Managers to take high-level project goals and translate them into technical

Requirements

, architectural designs, and actionable work items. Influence engineering best practices, tooling, and architecture patterns Design and implement secure backend systems, including but not limited to authentication, authorization, and access control Make high-impact architectural decisions across backend services, balancing performance, security, and scalability, including areas such as identity management when relevant Identify technology risks and dependencies early to establish mitigation plans Mentor and guide other engineers through technical design, code reviews, and coaching Participate in security audits and compliance reviews Implement rigorous authentication and authorization protocols. Ensure all backend development adheres to FDA regulations and HIPAA standards for medical software.

Qualifications

required Education : Bachelor's degree in Computer Science, Engineering, or related discipline, or equivalent experience. js, JavaScript, React, Angular, or similar) technologies Project Experience : Strong expertise in distributed systems and microservices architecture Demonstrated experience in building, deploying large-scale, secure RESTful APIs Leadership Skills: Experience driving technical vision and leading architectural decisions; ability to mentor and lead other engineers. Methodologies : Experience with Agile development methodologies and project management tools.

Security Knowledge : Strong understanding of web and OWASP security best practices.